~~ (J.N. Bhagat) Under Secretary (GAC)

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1 \ ' ~~ \:tllo..~ ~~ INDIAN COUNCIL OF AGRICULTURAL RESEARCH KRISHI BHAWAN: NEW DELHI '~t;:t~1 \ \\,.~JI Z ~.-;- '?<- "'W"'" RJ,Irq'.:.,? ~J:Jf;/ F. No. 21-4/2013-CDN Dated Ust February, 2013 ENDORSEMENT Department of Health & Family Welfare, Ministry of Health & Family Welfare, Government of India, Nirman Bhawan, New Delhi has issued ()~. No. S-U045/40/2012/CGHS/HEC/CGHS(p) dated & regarding - Investigations at private hospitals/diagnostic laboratories/imaging centres empanelled under CGHS. The above mentioned O.Ms. are being uploaded on the ICAR Web-Site for information and further guidance. DISTRIBUTION :- ~~ (J.N. Bhagat) Under Secretary (GAC) ~ All DirectorslProject Directors of all ICAR InstituteslNational Research CentreslProject Coordinators/Coordinated Research Projects/Zonal Project CoordinatorslBureaux Sr.PPS to DG, ICAR/PPS to Secretary, ICAR/PPS to FA (DARE). Chairman ASRB/ND, NAIP/ Project Director(DKMA), Pusa, New Delhi. Shri Hans Raj, ISO, (DKMA) KAB-I for putting in the ICAR Web-Site. All Officers/Sections at ICAR Krishi Bhawan/KAB-I/II & NASC Complex. Secy. (Staff Side), CJSC, National Research Centre on Meat, Chengicherla, Hyderabad Secy. (Staff Side),!USC, ICAR, KAB-II Guard file/spare copies

2 I J20121CGHSJHEClCGH8IP) -- Government of India Ministry of Health & Family Welfare Department of Health & Family Welfare Nlrman Shawan, New Deihl Dated the 1"January, OFFICE MEMORANDUM Sub: Regarding Investlaations at private hospitalsi diagnostic laboratories/imaging centres empanel/ad under CGHS *... Wrth reference to the above mentioned subject the undersigned is directed to state that this Ministry has been receiving representations for simplification of procedure for undergoing investigations at private hospitals 1 diagnostic laboratories 1 imaging centres empanelled under CGHS. The matter has been examined and with a view to alleviate the inconvenience to CGHS beneficiaries in obtaining requisite permission for undergoing investigations at CGHS empanelled private hospitals I diagnostic laboratories! imaging centres, it has now been decided that CGHS beneficiaries shall herein after be allowed to undergo investigations at private hospitals Idiagnostic laboratories /imaging centres empanelled under CGHS after specific investigations have been advised by a CGHS Medical Officer or a Government Specialist without requirement of any other referral(permission) letter. 2. Private empanelled hospitals! diagnostic laboratories! imaging centres shall perton' I the investigations / diagnostic tests on cashless basis in respect of pensioners, ex-mps, freedom fighters and other eligible categories of CGHS beneficiaries, who are presently eligible for credit facility and shall enclose the prescription issued by a CGHS Medical Officer or a Government Specialist, in original along with the hospital bill submitted to competent authorities. 3. Serving government employees shall enclose the prescription issued by a CGHS Medical Officer or a Government Specialist In original, while submitting the medical claim to the concerned Ministry Idepartment/office for reimbursement. 4. CGHS Medical Officer / Government Specialist shall not refer the beneficiaries to any particular diagnostic laboratory or imaging centre by name but. shall specify the Investigation and mention 'referred to CGH8 empanelled centre'. 5. These orders are applicable only in respect of investigations for which CGHS rates are available. It shall come into force with immediate effect. 6. This issue with the concurrence ofintegrated Finance Division vide FTS No A2~ (,V.P.8ingh) Deputy Secretary to the Government of India Tel To: 1 All Ministries / Departments, Government of India 2 Director, CGHS, Nirrnan Bhawan, New Delhi 3 Addl.DDG (HQ)/AII Add~ional Directors /Joint Directors of CGHS cities outside Delhi Contd...2/-

3 -:: 2 ::- 4 5 All Pay & Accounts OffIcers under CGHS Additional Director (Hdqrs) I Additional Director (SZ)/ (CZ)/(EZ)/(NZ), CGHS, New Delhi 6 JD (Gr.)/JD(R&H), CGHS, Delhi 7 CGHS Desk-IIDesk-IIICGH8-IICGHS-II, Ole General of CGHS, Nirman Bhawan. New Delhi 8 Estt.V EstllV EStl.1II1 Estt.IV 5ections, Ministry of Health & Family Welfare 9 Admn.!1 Admn.1I Sections of ote.ghs 10 Rajya Sabha I Lok Sabha Secretariat 11 Registrar, Supreme Court of India 12 U.P.S.C. Dholpur House, Shahjahan Road, New Delhi 13 Integrated Anance Division, Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi 14 Deputy secretary (Civil5elVice News), Department of Personnel & Training, 5th Floor, Sardar Patel Shawan, New Deihl. 15 PPS to Secretary (H&FW)I Secretary (AYUSH)/ Secretary (HR)/ Secretary (AIDS Control), Ministry of Health & Family Welfare 16 PPS to DGHS I SS (H) las & DG (CGHS) IAS&MD, NRHM 17 Swamy Publishers (P) Ltd., P. B. No. 2468, R. A. Puram, Chennal Shri Umraomal PUrohit, secretary, Staff Side. 13-C, Ferozshah Road, New Delhi 19 All Staff Side Members of National Council (JCM) (as per list attached) 20 Office ofthe Comptroller & AuditorGeneral of India,10 BahadurShah Zafar Marg, New Delhi 21 All Offices I 8ections I Desks in the Ministry 22. UTI-ITSL, 153/1, Arst floor, Old Madras Road, Ulsoor, Bengaluru Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the request to upload this OM on the CGHS website. 24 Office Order folder

4 / /CGHS/HEC/CGHS (PI GovenuDent DC india Ministry DC Health. hmuy Welfare Department ofhealth & Family Welfare Nfrman Bhawan, New Delhi Dated the 15th January, 2013 OFFICE MEMORANDUM Subiect: Reqardinq testslfnvesttqations at private hospitals! diagnostic laboratorieslimagfnq centres empanelled under COHS ***** The undersigned is directed to refer to the Office Memorandum of even no. dated 1 st January, 2013 on the above subject and to further lay down the procedure for getting the diagnostic tests / investigations carried out at the CGHS empanelled private hospitals/diagnostic laboratories I Imaging centres on a valid prescription issued by a CGHS Medical Officer / Government Specialist, without a referral/permission letter from the Department concerned or CMO-in-charge of CGHS Wellness Centre, as the case maybe. 2. The CGHS empanelled private hospitals / diagnost:c laboratories I imaging centres shall perform the investigations 1 diagnostic tests as prescribed by the CGHS Medical Officer / Government Specialist on cashless basis to the CGHS pensioner beneficiaries, ex-mps, freedom fighters and other eligible categories of CGHS beneficiaries, who are presently eligible for credit facility, at CGHS approved rates, only in respect of the tests / investigations for which CGHS rates are available. 3. The Serving beneficiaries will not require any permission from their Department for getting the diagnostic tests / investigations carried out in a CGHS empanelled private hospital/diagnostic laboratory / imaging centre in respect of investigations for which CGHS rates are available. They will get the prescribed tests done on payment basis and claim reimbursement from their Office. 4. For providing cashless facilities to the eligible CGHS beneficiaries, the empanelled private hospital/diagnostic laboratoryi imaging centre shall obtain the prescription either in original or selfattested copy of the prescription and self attested photocopies of the Contd...2/-

5 -:: 2 ::- CGHS card of the patient and the CGHS card of the main CGHS cardholder beneficiary and enclose the same with their bills for claiming payment from CGHS or the Department concerned, as the case may be. The hospital/diagnostic laboratoiy/imaging centre shall however, verify the self attested copies from the original prescription/cghs cards,' before allowing the credit facility to the eligible CGHS beneficiary. 5. The medical prescription issued by a CGHS Medical Officer / Government Specialist prescribing diagnostic tests / investigations shall be treated as valid for a single use within a period of two weeks from the date of prescription unless specifically provided otherwise by the Government Specialist in the prescription, about the date or period after which the prescribed tests are to be conducted for a follow up treatment. The medical prescription would require revalidation or issue of a fresh prescription from the prescribing CGHS doctor/government Specialist for getting the prescribed tests done after expiry of the validity period of two weeks, as indicated above. 6. The CGHS empanelled private hospitals / diagnostic laboratories / imaging centres shall provide cashless facilities to the serving CGHS beneficiaries entitled for credit facilities in terms of this MinistrY's OM No Rec / Gr./CGHS/Delhi/CGHS (P) dated , on submission of a self attested photocopy of his / her Identity card issued by the Department / MinistrY, alongwith self attested photocopies of the CGHS card of the patient and the m~" cardholder. The hospital/diagnostic laboratory / imaging centre shall enclose the above documents with their bills to the Department concerned for claiming payment. To: ~ [V.P.S1Dgh] Deputy Secretary to the Govemmeat ofladia Tel All Ministries / Departments, Government ofindia 2. Director, CGHS, Nirman Bhawan, New Delhi 3. Addl.DDG (HQ)/All Additional Directors /Joint Directors of CGHS cities outside Delhi 4. Additional Director (Hdqrs) / Additional Director (SZ}/(CZ)/(EZ)/(NZ), CGHS, New Delhi 5. JD (Gr.)/JD(R&Hl, CGHS, Delhi Contd...3/-

6 ! () -:: 3 ::- 6. All Pay & Accounts Officers under CGHS 7. CGHS Desk-I/Desk-II/CGHS-I/CGHS-II, Directorate General of CGHS, Ninnan Bhawan. New Delhi 8. Estt.I/Estt.II/Estt.III/Estt.IV Sections, M/D Health & Family Welfare 9. Admn.I / Admn.II Sections ofdte.ghs 10. Rajya Sabha / Lok Sabha Secretariat 11. Registrar, Supreme Court of India 12. U.P.S.C. Dholpur House, Shahjahan Road, New Delhi 13. Integrated Finance Division, Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi 14. Deputy Secretary (Civil Service News), Department of Personnel & Training, 5th Floor, Sardar Patel Bhawan, New Delhi. 15. PPS to Secretary (H&FW)/ Secretary (AYUSH)/ Secretary (HR)/ Secretary (AIDS Control), Ministry of Health & Family Welfare 16. PPS to DGHS / 5S (H) / AS & on (CnHR) / AR&MD,NRHM/ AS&FA, MOHFW, Nirman Bhawan 17. Swamy Publishers (P) Ltd., P. B. No. 2468, R. A. Puram, Chennai Shri Umraomai Purohit, Secretary, Staff Side, National Council (JCM),13-C, Ferozshah Road, New Delhi 19. Ail Staff Side Members of National Council (JCM) (as per list) 20. Office of the Comptroller & Auditor General ofindia,10 Bahadur Shah zafar Marg, New Delhi 21. All Offices / Sections / Desks in the Ministry 22. UTI-ITSL, 153/1, First floor, Old Madras Road, Ulsoor, Bengaluru Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the request to upload this OM on the CGHSwebsite. 24. All CGHS empanelled private hospitals / diagnostic laboratories/imaging Centres with the request for strict compliance 25. Guard File \ r

Fresh empanelment of private hospitals and revision of package rates applicable under CGHS, Delhi.

Fresh empanelment of private hospitals and revision of package rates applicable under CGHS, Delhi. No: S.11011/23/2009- D.II/Hospital Cell (Part I) Government of India Ministry of Health & Family Welfare Department of Health & Family Welfare ************* Maulana Azad Road, Nirman Bhawan New Delhi 110